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follow-up survey. However 602 of these providers returned both the baseline and the follow-up surveys with enough data to match the baseline to the follow-up responses. The analyses in this report are based on this group of 602 providers.
The Choose Health LA Child Care training curriculum was modified and adapted from a pilot study conducted by DPH a few years ago and incorporates evidence-based guidelines and curricula - such as ones developed by Nemours- recommendations from the Institutes of Medicine (IOM), and standards set by the USDA. The curriculum also includes State standards such as the Child Care Beverage Law, which requires child care providers to serve low-fat or non-fat milk to children over two years old, eliminate sugar sweetened beverages, and provide water to children throughout the day. The curriculum is comprehensive covering the following five main topic areas: breastfeeding, food and beverages, physical activity, screen time, and policy/environment.
The Policies and Practices survey tool was modified and adapted from the CHOICE Self- Assessment for Child Care Providersxxvii, developed by the Contra Costa Child Care Council and NAP SACC, created by the University of North Carolina at Chapel Hill. Discussions with the developers of the CHOICE tool revealed that many users of the tool conduct an item-by-item analysis. Discussions are currently underway with developers and other users regarding the methods used in this report. Methods for data analysis are briefly described in the following sections. Given the categorical and ordinal nature of the data, standard inferential statistics such as t-test are not appropriate. Most of the analyses include frequencies and where relevant chi-squares or odds ratios for group comparisons. The internal group designing the survey also took into consideration the information covered in the curriculum to ensure the survey aligned well with what child care providers learned during the workshops. The group designing the survey included staff from Los Angeles County Department of Public Health, evaluators from the Child Care Resource Center and the Sarah Samuels Center for Public Health Research and Evaluation, and program staff from the child care sector (Child Care Alliance of Los Angeles and Child Care Resource Center).
Who are the study participants and children and what is the general nutritional environment?
Most of the surveys (77.9%) were returned by center-based staff with 22.1% of surveys returned by Family Child Care providers (FCC). Most providers reported English as their primary language (73.4% English and 26.6% Spanish). Of those who returned the survey 55.0% (331) received at least an initial coaching session and 22.1% (133) received a second coaching session.
Improving Health in Child Care Settings: 2016 12

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